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PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build -

PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build - ci-build

PROTECT-CHILD Pediatric Transplant Data Implementation Guide, published by Protect Child. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/protect-child/ and changes regularly. See the Directory of published versions

Example Bundle: Worked Example — recipient REC-1-0001 full transplant journey

Bundle ProtectChildRecipientJourneyExample of type collection


Entry 1 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Organization/PCCenter1LaPaz

Resource Organization:

Profile: Study Centre

identifier: ProtectChildStudyCentreId/1

name: La Paz University Hospital

Contacts

-Address
*ES

Entry 2 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Patient/ExamplePatientTransplant1

Resource Patient:

Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)


Links:

Entry 3 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Patient/ExampleDonor1

Resource Patient:

Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)


Deceased:2023-08-14 22:40:00+0200

Entry 4 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/DonorTypeExample1

Resource Observation:

partOf: Procedure Transplantation of liver

status: Final

code: Organ donor

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

effective: 2023-08-15

performer: Organization La Paz University Hospital

value: Deceased


Entry 5 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Medication/ImmunosuppressantExample1

Resource Medication:

identifier: ProtectChildId/IMM-0001

code: Methylprednisolone

status: Active


Entry 6 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Medication/ImmunosuppressantTacrolimus1

Resource Medication:

identifier: ProtectChildId/IMM-0002

code: Tacrolimus

status: Active


Entry 7 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ObservationDefinition/LabTestExample1

Resource ObservationDefinition:

Profile: Lab Test

identifier: ProtectChildId/LBT-0001

code: Albumin [Mass/volume] in Serum or Plasma

permittedDataType: Quantity


Entry 8 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ObservationDefinition/LabTestCreatinine1

Resource ObservationDefinition:

Profile: Lab Test

identifier: ProtectChildId/LBT-0002

code: Creatinine [Mass/volume] in Serum or Plasma

permittedDataType: Quantity


Entry 9 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ObservationDefinition/InstrumentalInvestigationExample1

Resource ObservationDefinition:

identifier: ProtectChildId/INS-0001

code: Doppler ultrasonography of liver and portal system


Entry 10 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/ExamplePatientLiverDiagnosis1

Resource Condition:

clinicalStatus: Active

code: Other and unspecified cirrhosis of liver

bodySite: Liver structure

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

onset: 2020-03-01

note:

Extra details about the diagnosis (free text).


Entry 11 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/EpisodeOfCare/GraftEpisodeExample1

Resource EpisodeOfCare:

Profile: Graft Episode

identifier: ProtectChildId/TXP-1-0001

status: Active

type: Transplantation of liver

patient: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

managingOrganization: Organization La Paz University Hospital

period: 2023-08-15 --> (ongoing)


Entry 12 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/VisitPreTxExample1

Resource Encounter:

Profile: Visit

identifier: ProtectChildId/VIS-1-0001

status: completed

class: ambulatory

type: Pre-transplant visit

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

episodeOfCare: EpisodeOfCare: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = active; type = Transplantation of liver; period = 2023-08-15 --> (ongoing)


Entry 13 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/PreMedicationExample1

Resource MedicationStatement:

status: not-taken

identifier: ProtectChildId/PRM-1-0001

status: recorded

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

effective: 2023-08-14

note:

No antihypertensive required before transplantation; blood pressure was low-normal throughout the pre-transplant work-up.


Entry 14 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/PreMedicationRituximab1

Resource MedicationStatement:

status: completed

identifier: ProtectChildId/PRM-1-0001

status: recorded

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

effective: 2023-07-25


Entry 15 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ExamplePatientImmunologyObservation1

Resource Observation:

status: Final

category: Laboratory

code: Patient pre-transplant immunology panel (PRA, histological date)

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

component

code: Maximum PRA (historical)

value: 80

component

code: Most recent PRA

value: 55

component

code: Earliest date of diagnosis

value: 2020-03-15


Entry 16 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/DiagnosticReport/ImmReportPreTx1

Resource DiagnosticReport:

Immunological data report (Immunology)

SubjectAnonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)
Relevant Time2023-08-01
Performer Organization La Paz University Hospital
Identifier ProtectChildId/IMD-1-0001

Report Details

CodeValueFlagsNote
ABO group [Type] in BloodGroup AFinal
Rh [Type] in BloodRh positiveFinal
HLA-A [Type] by High resolutionA*02:01Final
HLA-A [Type] by High resolutionA*24:02Final
HLA-B [Type] by High resolutionB*07:02Final
HLA-B [Type] by High resolutionB*44:03Final
HLA-C [Type] by High resolution typingC*07:02Final
HLA-C [Type] by High resolution typingC*16:01Final
HLA-DRB1 [Type] by High resolutionDRB1*03:01Final
HLA-DRB1 [Type] by High resolutionDRB1*15:01Final
HLA-DQB1 [Type] by High resolutionDQB1*02:01Final
HLA-DQB1 [Type] by High resolutionDQB1*06:02Final
HLA-DPB1 [Type] by High resolutionDPB1*04:01Final
HLA-DPB1 [Type] by High resolutionDPB1*02:01Final
HLA Ab [Presence] in SerumNegativeFinal

No donor-specific antibodies detected on pre-transplant screen.


Entry 17 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmAbo1

Resource Observation:

status: Final

category: Laboratory

code: ABO group [Type] in Blood

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: Group A


Entry 18 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmRh1

Resource Observation:

status: Final

category: Laboratory

code: Rh [Type] in Blood

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: Rh positive


Entry 19 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla1

Resource Observation:

Profile: HLA Typing

IMGT/HLA database version: 3.55

status: Final

category: Laboratory

code: HLA-A [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: A*02:01


Entry 20 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla2

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-A [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: A*24:02


Entry 21 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla3

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-B [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: B*07:02


Entry 22 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla4

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-B [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: B*44:03


Entry 23 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla5

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-C [Type] by High resolution typing

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: C*07:02


Entry 24 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla6

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-C [Type] by High resolution typing

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: C*16:01


Entry 25 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla7

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DRB1 [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: DRB1*03:01


Entry 26 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla8

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DRB1 [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: DRB1*15:01


Entry 27 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla9

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DQB1 [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: DQB1*02:01


Entry 28 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla10

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DQB1 [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: DQB1*06:02


Entry 29 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla11

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DPB1 [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: DPB1*04:01


Entry 30 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmHla12

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DPB1 [Type] by High resolution

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: DPB1*02:01


Entry 31 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmScreenPreTx1

Resource Observation:

status: Final

category: Laboratory

code: HLA Ab [Presence] in Serum

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-01

performer: Organization La Paz University Hospital

value: Negative

note:

No donor-specific antibodies detected on pre-transplant screen.


Entry 32 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/DiagnosticReport/ImmReportDonor1

Resource DiagnosticReport:

Immunological data report (Immunology)

SubjectAnonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)
Relevant Time2023-08-14
Performer Organization La Paz University Hospital
Identifier ProtectChildId/IMD-1-0003

Report Details

CodeValueFlags
ABO group [Type] in BloodGroup OFinal
Rh [Type] in BloodRh positiveFinal
HLA-A [Type] by High resolutionA*01:01Final
HLA-A [Type] by High resolutionA*02:01Final
HLA-B [Type] by High resolutionB*08:01Final
HLA-B [Type] by High resolutionB*44:03Final
HLA-C [Type] by High resolution typingC*07:01Final
HLA-C [Type] by High resolution typingC*16:01Final
HLA-DRB1 [Type] by High resolutionDRB1*03:01Final
HLA-DRB1 [Type] by High resolutionDRB1*07:01Final
HLA-DQB1 [Type] by High resolutionDQB1*02:01Final
HLA-DQB1 [Type] by High resolutionDQB1*02:02Final

Entry 33 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorAbo1

Resource Observation:

status: Final

category: Laboratory

code: ABO group [Type] in Blood

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: Group O


Entry 34 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorRh1

Resource Observation:

status: Final

category: Laboratory

code: Rh [Type] in Blood

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: Rh positive


Entry 35 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla1

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-A [Type] by High resolution

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: A*01:01


Entry 36 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla2

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-A [Type] by High resolution

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: A*02:01


Entry 37 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla3

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-B [Type] by High resolution

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: B*08:01


Entry 38 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla4

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-B [Type] by High resolution

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: B*44:03


Entry 39 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla5

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-C [Type] by High resolution typing

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: C*07:01


Entry 40 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla6

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-C [Type] by High resolution typing

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: C*16:01


Entry 41 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla7

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DRB1 [Type] by High resolution

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: DRB1*03:01


Entry 42 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla8

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DRB1 [Type] by High resolution

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: DRB1*07:01


Entry 43 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla9

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DQB1 [Type] by High resolution

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: DQB1*02:01


Entry 44 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDonorHla10

Resource Observation:

Profile: HLA Typing

status: Final

category: Laboratory

code: HLA-DQB1 [Type] by High resolution

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: DQB1*02:02


Entry 45 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/DiagnosticReport/MicrobiologyDonorExample1

Resource DiagnosticReport:

Microbiology studies (set) (Microbiology)

SubjectAnonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)
Relevant Time2023-08-14
Performer Organization La Paz University Hospital
Identifier ProtectChildId/MIC-1-0002

Report Details

CodeValueFlags
Cytomegalovirus IgG Ab [Presence] in Serum or Plasma from Donor by ImmunoassayPositiveFinal
Cytomegalovirus IgM Ab [Presence] in Serum or Plasma from Donor by ImmunoassayNegativeFinal
Epstein Barr virus capsid IgG Ab [Presence] in Serum from Donor by ImmunoassayPositiveFinal
Epstein Barr virus nuclear IgG Ab [Presence] in SerumPositiveFinal

Entry 46 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroDonorCmvIgg1

Resource Observation:

status: Final

category: Laboratory

code: Cytomegalovirus IgG Ab [Presence] in Serum or Plasma from Donor by Immunoassay

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: Positive


Entry 47 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroDonorCmvIgm1

Resource Observation:

status: Final

category: Laboratory

code: Cytomegalovirus IgM Ab [Presence] in Serum or Plasma from Donor by Immunoassay

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: Negative


Entry 48 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroDonorEbvVcaIgg1

Resource Observation:

status: Final

category: Laboratory

code: Epstein Barr virus capsid IgG Ab [Presence] in Serum from Donor by Immunoassay

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: Positive


Entry 49 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroDonorEbnaIgg1

Resource Observation:

status: Final

category: Laboratory

code: Epstein Barr virus nuclear IgG Ab [Presence] in Serum

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = ambulatory (ActCode#AMB); type = Pre-transplant visit; period = 2023-07-25 --> 2023-08-14

effective: 2023-08-14

performer: Organization La Paz University Hospital

value: Positive


Entry 50 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ExampleDonorAgeObservation1

Resource Observation:

status: Final

category: Survey

code: Patient demographics panel (age)

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

effective: 2023-08-15

performer: Organization La Paz University Hospital

component

code: Age

value: 25 years (Details: UCUM codea = 'a')

component

code: Patient age in months

value: 300 months (Details: UCUM codemo = 'mo')


Entry 51 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ExampleDonorLiverType1

Resource Observation:

Transplant type context: Transplantation of liver

status: Final

category: Procedure

code: Transplant type [Anatomy]

subject: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

effective: 2023-08-15

performer: Organization La Paz University Hospital

value: Partial


Entry 52 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/TransplantAdmissionExample1

Resource Encounter:

identifier: ProtectChildId/TXP-1-0001

status: completed

class: inpatient encounter

type: Transplant admission

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

episodeOfCare: EpisodeOfCare: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = active; type = Transplantation of liver; period = 2023-08-15 --> (ongoing)


Entry 53 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Procedure/TransplantExample1

Resource Procedure:

Profile: Transplant

Transplant donor reference: Anonymous Patient Male, DoB: 1998-08-01 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-1-0001)

identifier: ProtectChildId/TXP-1-0001

status: Completed

code: Transplantation of liver

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Transplant admission; period = 2023-08-15 --> 2023-08-28

complication: No display for Procedure.complication (reference: ->Condition Intraoperative hemorrhage)


Entry 54 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Procedure/TransplantAnastomosisExample1

Resource Procedure:

partOf: Procedure Transplantation of liver

status: Completed

code: Choledochocholedochostomy

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Transplant admission; period = 2023-08-15 --> 2023-08-28


Entry 55 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/IntraoperativeComplicationExample1

Resource Condition:

category: Encounter Diagnosis

code: Intraoperative hemorrhage

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Transplant admission; period = 2023-08-15 --> 2023-08-28

onset: 2023-08-15


Entry 56 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/TransplantDetailsExample1

Resource Observation:

partOf: Procedure Transplantation of liver

status: Final

category: Procedure

code: Transplant details panel

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

effective: 2023-08-15

performer: Organization La Paz University Hospital

component

code: Time from diagnosis to transplant (months)

value: 41 months (Details: UCUM codemo = 'mo')

component

code: Graft-to-recipient weight ratio (%)

value: 2.3 % (Details: UCUM code% = '%')

component

code: Cold ischemia time (minutes)

value: 480 min (Details: UCUM codemin = 'min')

component

code: Warm ischemia time (minutes)

value: 45 min (Details: UCUM codemin = 'min')


Entry 57 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/ImmPatInductionExample1

Resource MedicationStatement:

status: completed

identifier: ProtectChildId/IMP-1-0001

status: recorded

category: Induction

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

effective: 2023-08-15 --> 2023-08-15

dosage

text: Single intraoperative dose of 10 mg/kg.

timing: Count 1 times, Once

DoseAndRates

-Dose[x]
*10 mg/kg (Details: UCUM codemg.kg-1 = 'mg.kg-1')

Entry 58 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/ClinicalEventAkiExample1

Resource Condition:

Clinical event end visit: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

identifier: ProtectChildId/CLE-1-0001, ProtectChildId/CLE-1-0003

clinicalStatus: Resolved

code: Acute kidney injury

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Transplant admission; period = 2023-08-15 --> 2023-08-28

onset: 2023-08-20

abatement: 2023-09-15


Entry 59 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Procedure/ClinicalEventDialysisProcedureExample1

Resource Procedure:

status: Completed

code: Hemodialysis

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)


Entry 60 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/VisitExample1

Resource Encounter:

Profile: Visit

identifier: ProtectChildId/VIS-1-0002

status: completed

class: ambulatory

type: 1 month visit

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

episodeOfCare: EpisodeOfCare: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = active; type = Transplantation of liver; period = 2023-08-15 --> (ongoing)


Entry 61 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/VitalSignExample1

Resource Observation:

Profile: Vital Sign

identifier: ProtectChildId/VIT-1-0001

status: Final

category: Vital Signs

code: Vital signs panel

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

component

code: Systolic blood pressure

value: 118 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 75 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Heart rate

value: 72 bpm (Details: UCUM code/min = '/min')

component

code: Body temperature

value: 36.7 °C (Details: UCUM codeCel = 'Cel')

component

code: Body mass index (BMI) [Ratio]

value: 19.8 kg/m² (Details: UCUM codekg/m2 = 'kg/m2')


Entry 62 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/lab-result-observation-example-1

Resource Observation:

identifier: ProtectChildId/LBR-1-0001

status: Final

category: Laboratory

code: Creatinine [Mass/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15 09:15:00+0200

performer: Organization La Paz University Hospital

value: 1.2 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

interpretation: High


Entry 63 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/lab-result-albumin-month-1

Resource Observation:

identifier: ProtectChildId/LBR-1-0002

status: Final

category: Laboratory

code: Albumin [Mass/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15 09:15:00+0200

performer: Organization La Paz University Hospital

value: 3.4 g/dL (Details: UCUM codeg/dL = 'g/dL')

interpretation: Low


Entry 64 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/lab-result-alt-month-1

Resource Observation:

identifier: ProtectChildId/LBR-1-0003

status: Final

category: Laboratory

code: Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15 09:15:00+0200

performer: Organization La Paz University Hospital

value: 86 U/L (Details: UCUM codeU/L = 'U/L')

interpretation: High


Entry 65 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Specimen/biosample-example-1

Resource Specimen:

Visit reference: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

identifier: ProtectChildId/BIO-1-0001

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

receivedTime: 2023-09-20

Collections

-Collected[x]
*2023-09-15

Entry 66 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ServiceRequest/BioSampleGenomicRequest1

Resource ServiceRequest:

status: Active

intent: Order

code: No display for ServiceRequest.code (concept: Genomic analysis)

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

authoredOn: 2023-09-15

specimen: Specimen: extension = ->Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15; identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#BIO-1-0001; receivedTime = 2023-09-20


Entry 67 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ClinicalVariableExample1

Resource Observation:

identifier: ProtectChildId/CLV-1-0001

status: Final

category: Exam

code: Clinical information

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

note:

Patient reports intermittent fatigue.

component

code: Body weight

value: 32.5 kg (Details: UCUM codekg = 'kg')

component

code: Body height

value: 128 cm (Details: UCUM codecm = 'cm')

component

code: Urine output 24 hour

value: 1200 ml/day (Details: UCUM codemL/d = 'mL/d')


Entry 68 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/ConcomitantDiseaseExample1

Resource Condition:

category: Problem List Item

code: Hypertensive disorder

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

onset: 2023-09-01


Entry 69 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/DiagnosticReport/microbiology-example-1

Resource DiagnosticReport:

Microbiology studies (set) (Microbiology)

SubjectAnonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)
Relevant Time2023-09-15
Performer Organization La Paz University Hospital
Identifier ProtectChildId/MIC-1-0001

Report Details

CodeValueFlags
Epstein Barr virus DNA [#/volume] (viral load) in Blood by NAA with probe detection2450 copies/mL (Details: UCUM code{copies}/mL = '{copies}/mL')Final, Detected
Epstein Barr virus capsid IgM Ab [Presence] in SerumNegativeFinal
Epstein Barr virus capsid IgG Ab [Presence] in SerumPositiveFinal
Epstein Barr virus nuclear IgG Ab [Presence] in SerumPositiveFinal
EBV early antigen IgM Ab [Presence] in SerumNegativeFinal
Cytomegalovirus DNA [Presence] in Blood by NAA with probe detectionNot detectedFinal
Cytomegalovirus IgM Ab [Presence] in Serum or PlasmaNegativeFinal
Cytomegalovirus IgG Ab [Presence] in Serum or Plasma by ImmunoassayPositiveFinal
BK virus DNA [Presence] in BloodNot detectedFinal
BK virus DNA [Presence] in Urine by NAA with probe detectionNot detectedFinal

Entry 70 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroEbvLoad1

Resource Observation:

status: Final

category: Laboratory

code: Epstein Barr virus DNA [#/volume] (viral load) in Blood by NAA with probe detection

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: 2450 copies/mL (Details: UCUM code{copies}/mL = '{copies}/mL')

interpretation: Detected


Entry 71 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroEbvVcaIgm1

Resource Observation:

status: Final

category: Laboratory

code: Epstein Barr virus capsid IgM Ab [Presence] in Serum

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Negative


Entry 72 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroEbvVcaIgg1

Resource Observation:

status: Final

category: Laboratory

code: Epstein Barr virus capsid IgG Ab [Presence] in Serum

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Positive


Entry 73 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroEbnaIgg1

Resource Observation:

status: Final

category: Laboratory

code: Epstein Barr virus nuclear IgG Ab [Presence] in Serum

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Positive


Entry 74 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroEbvEaIgm1

Resource Observation:

status: Final

category: Laboratory

code: EBV early antigen IgM Ab [Presence] in Serum

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Negative


Entry 75 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroCmvDna1

Resource Observation:

status: Final

category: Laboratory

code: Cytomegalovirus DNA [Presence] in Blood by NAA with probe detection

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Not detected


Entry 76 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroCmvIgm1

Resource Observation:

status: Final

category: Laboratory

code: Cytomegalovirus IgM Ab [Presence] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Negative


Entry 77 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroCmvIgg1

Resource Observation:

status: Final

category: Laboratory

code: Cytomegalovirus IgG Ab [Presence] in Serum or Plasma by Immunoassay

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Positive


Entry 78 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroBkvBlood1

Resource Observation:

status: Final

category: Laboratory

code: BK virus DNA [Presence] in Blood

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Not detected


Entry 79 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/MicroBkvUrine1

Resource Observation:

status: Final

category: Laboratory

code: BK virus DNA [Presence] in Urine by NAA with probe detection

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Not detected


Entry 80 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/MicrobiologyDiagnosisExample1

Resource Condition:

category: Encounter Diagnosis

code: Epstein-Barr virus hepatitis

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

onset: 2023-09-15


Entry 81 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/ImmPatMaintenanceExample1

Resource MedicationStatement:

status: active

identifier: ProtectChildId/IMP-1-0002

status: recorded

category: Maintenance

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

effective: 2023-09-15 --> 2023-09-20

dosage

text: 0.1 mg/kg at each administration, twice daily.

timing: 2 per 1 day

DoseAndRates

-Dose[x]
*0.1 mg/kg (Details: UCUM codemg.kg-1 = 'mg.kg-1')

Entry 82 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmPatPKObservationExample1

Resource Observation:

partOf: MedicationStatement: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#IMP-1-0002; status = active; category = Maintenance; medication[x] = ->Medication Tacrolimus; effective[x] = 2023-09-15 --> 2023-09-20

status: Final

category: Laboratory

code: Tacrolimus trough level (C0)

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: 8.5 ng/mL (Details: UCUM codeng.mL-1 = 'ng.mL-1')


Entry 83 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/ImmPatEbvReducedExample1

Resource MedicationStatement:

status: active

identifier: ProtectChildId/IMP-1-0003

status: recorded

category: Maintenance

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

effective: 2023-09-20 --> (ongoing)

dosage

text: Reduced from 0.1 mg/kg to 0.06 mg/kg at each administration for EBV viraemia, twice daily.

timing: 2 per 1 day

DoseAndRates

-Dose[x]
*0.06 mg/kg (Details: UCUM codemg.kg-1 = 'mg.kg-1')

Entry 84 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/LiverHistologyEbvExample1

Resource Observation:

identifier: ProtectChildId/IIV-1-0002

status: Final

code: Histopathology test

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --> 2023-09-15

effective: 2023-09-15

performer: Organization La Paz University Hospital

value: Abnormal

Components

-CodeValue[x]
*Abnormality descriptionPortal and lobular mononuclear infiltrate, EBER-positive nuclei; no bile duct damage or endothelialitis — favours EBV hepatitis over rejection.

Entry 85 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/VisitClinicalEventExample1

Resource Encounter:

Profile: Visit

identifier: ProtectChildId/VIS-1-0003

status: completed

class: ambulatory

type: Clinical Event visit

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

episodeOfCare: EpisodeOfCare: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = active; type = Transplantation of liver; period = 2023-08-15 --> (ongoing)


Entry 86 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/ClinicalEventExample1

Resource Condition:

Clinical event end visit: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0004; status = finished; class = ambulatory (ActCode#AMB); type = 6 month visit; period = 2024-02-15 --> 2024-02-15

identifier: ProtectChildId/CLE-1-0002, ProtectChildId/CLE-1-0004

clinicalStatus: Resolved

code: Liver transplant rejection

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

onset: 2023-11-15

abatement: 2024-02-15


Entry 87 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/DiagnosticReport/ImmReportRejection1

Resource DiagnosticReport:

Immunological data report (Immunology)

SubjectAnonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)
Relevant Time2023-11-15
Performer Organization La Paz University Hospital
Identifier ProtectChildId/IMD-1-0002

Report Details

CodeValueFlags
HLA-A and B and C (class I) and HLA-DP and DQ and DR (class II) Ab.IgG donor specific [Identifier] in Serum or PlasmaB*08:01Final
Neutrophil cytoplasmic Ab [Presence] in SerumNegativeFinal

Entry 88 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmDsaB0801

Resource Observation:

status: Final

category: Laboratory

code: HLA-A and B and C (class I) and HLA-DP and DQ and DR (class II) Ab.IgG donor specific [Identifier] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15

performer: Organization La Paz University Hospital

value: B*08:01

component

code: HLA class of the antibody

value: Class I

component

code: MFI band

value: SR (strong, >4000)

component

code: MFI value

value: 8200 MFI (Details: UCUM code{MFI} = '{MFI}')


Entry 89 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ImmAnca1

Resource Observation:

status: Final

category: Laboratory

code: Neutrophil cytoplasmic Ab [Presence] in Serum

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15

performer: Organization La Paz University Hospital

value: Negative


Entry 90 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/DiagnosticReport/GraftBiopsyLiver1

Resource DiagnosticReport:

Profile: Graft Biopsy

Surgical pathology study (Surgical Pathology)

SubjectAnonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)
Relevant Time2023-11-15
Performer Organization La Paz University Hospital
Identifier ProtectChildId/IMD-1-0002

Report Details

CodeValueFlagsNote
Banff Rejection Activity Index (liver)6Final
C4d Ag [Presence] in Tissue by Immune stainC4d3 – diffuse (>50%)Final

C4d positive in the portal microvasculature, diffuse portal capillary staining.

Diffuse portal microvascular C4d staining; no immune-complex deposition.


Entry 91 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Specimen/LiverBiopsySpecimen1

Resource Specimen:

status: Available

type: Tissue

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

Collections

-Collected[x]BodySite
*2023-11-15No display for Specimen.collection.bodySite (concept: Liver structure)

Entry 92 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/LiverRai1

Resource Observation:

status: Final

category: Laboratory

code: Banff Rejection Activity Index (liver)

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15

performer: Organization La Paz University Hospital

value: 6

specimen: Specimen: status = available; type = Tissue

component

code: Portal inflammation

value: 3

component

code: Bile duct inflammation / damage

value: 2

component

code: Venous endothelial inflammation

value: 1


Entry 93 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/C4dStainLiver1

Resource Observation:

Profile: C4d Stain

status: Final

category: Laboratory

code: C4d Ag [Presence] in Tissue by Immune stain

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15

performer: Organization La Paz University Hospital

value: C4d3 – diffuse (>50%)

note:

C4d positive in the portal microvasculature, diffuse portal capillary staining.

specimen: Specimen: status = available; type = Tissue


Entry 94 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/ClinicalEventFlagObservationExample1

Resource Observation:

status: Final

category: Exam

code: Treatment adherence

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

focus: Condition Liver transplant rejection

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15

performer: Organization La Paz University Hospital

value: true


Entry 95 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/lab-result-alt-rejection-1

Resource Observation:

identifier: ProtectChildId/LBR-1-0007

status: Final

category: Laboratory

code: Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15 08:30:00+0100

performer: Organization La Paz University Hospital

value: 210 U/L (Details: UCUM codeU/L = 'U/L')

interpretation: High


Entry 96 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/lab-result-bilirubin-rejection-1

Resource Observation:

identifier: ProtectChildId/LBR-1-0008

status: Final

category: Laboratory

code: Bilirubin.total [Mass/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15 08:30:00+0100

performer: Organization La Paz University Hospital

value: 3.8 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

interpretation: High


Entry 97 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/lab-result-ggt-rejection-1

Resource Observation:

identifier: ProtectChildId/LBR-1-0009

status: Final

category: Laboratory

code: Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15 08:30:00+0100

performer: Organization La Paz University Hospital

value: 180 U/L (Details: UCUM codeU/L = 'U/L')

interpretation: High


Entry 98 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/LabAnaRejection1

Resource Observation:

identifier: ProtectChildId/LBR-1-0010

status: Final

category: Laboratory

code: Nuclear Ab [Presence] in Serum

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15

performer: Organization La Paz University Hospital

value: Negative


Entry 99 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/LabSmaRejection1

Resource Observation:

identifier: ProtectChildId/LBR-1-0011

status: Final

category: Laboratory

code: Smooth muscle Ab [Presence] in Serum

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --> 2023-11-15

effective: 2023-11-15

performer: Organization La Paz University Hospital

value: Positive


Entry 100 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/ImmPatRejectionTreatmentExample1

Resource MedicationStatement:

status: completed

identifier: ProtectChildId/IMP-1-0004

status: recorded

category: Rejection treatment

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

effective: 2023-11-15 --> 2023-11-17

dosage

text: IV methylprednisolone 10 mg/kg once daily for three days.

timing: Once per 1 day

DoseAndRates

-Dose[x]
*10 mg/kg (Details: UCUM codemg.kg-1 = 'mg.kg-1')

Entry 101 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/VisitMonth6Example1

Resource Encounter:

Profile: Visit

identifier: ProtectChildId/VIS-1-0004

status: completed

class: ambulatory

type: 6 month visit

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

episodeOfCare: EpisodeOfCare: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = active; type = Transplantation of liver; period = 2023-08-15 --> (ongoing)


Entry 102 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/ConcomitantMedicationExample1

Resource MedicationStatement:

status: active

identifier: ProtectChildId/CMD-1-0001

status: recorded

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

effective: 2023-09-15 --> (ongoing)

dosage

DoseAndRates

-Dose[x]
*5 mg (Details: UCUM codemg = 'mg')

Entry 103 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/PatientInstrumentalInvestigationExample1

Resource Observation:

identifier: ProtectChildId/IIV-1-0001

status: Final

code: Doppler ultrasonography of liver and portal system

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0004; status = finished; class = ambulatory (ActCode#AMB); type = 6 month visit; period = 2024-02-15 --> 2024-02-15

effective: 2024-02-15

performer: Organization La Paz University Hospital

value: Normal


Entry 104 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Procedure/ConcomitantProcedureExample1

Resource Procedure:

status: Completed

code: Endoscopic retrograde cholangiopancreatography using fluoroscopic guidance

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0004; status = finished; class = ambulatory (ActCode#AMB); type = 6 month visit; period = 2024-02-15 --> 2024-02-15


Entry 105 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/VisitMonth12Example1

Resource Encounter:

Profile: Visit

identifier: ProtectChildId/VIS-1-0005

status: completed

class: ambulatory

type: 12 month visit

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

episodeOfCare: EpisodeOfCare: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#TXP-1-0001; status = active; type = Transplantation of liver; period = 2023-08-15 --> (ongoing)


Entry 106 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/VitalSignExample2

Resource Observation:

Profile: Vital Sign

identifier: ProtectChildId/VIT-1-0002

status: Final

category: Vital Signs

code: Vital signs panel

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0005; status = finished; class = ambulatory (ActCode#AMB); type = 12 month visit; period = 2024-08-15 --> 2024-08-15

effective: 2024-08-15

performer: Organization La Paz University Hospital

component

code: Systolic blood pressure

value: 112 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 70 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Heart rate

value: 80 bpm (Details: UCUM code/min = '/min')

component

code: Oxygen saturation in Arterial blood by Pulse oximetry

value: 98 % (Details: UCUM code% = '%')

component

code: Pediatric systolic blood pressure percentile [Per age, sex and height]

value: 82

component

code: Pediatric diastolic blood pressure percentile [Per age, sex and height]

value: 74

component

code: Systolic blood pressure 24 hour mean

value: 114 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure 24 hour mean

value: 68 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Mean systolic blood pressure — daytime (mmHg)

value: 119 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Mean diastolic blood pressure — daytime (mmHg)

value: 72 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Mean systolic blood pressure — night-time (mmHg)

value: 104 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Mean diastolic blood pressure — night-time (mmHg)

value: 60 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Systolic blood pressure load (%)

value: 22 % (Details: UCUM code% = '%')

component

code: Diastolic blood pressure load (%)

value: 15 % (Details: UCUM code% = '%')

component

code: Systolic blood pressure nocturnal dip (%)

value: 12.6 % (Details: UCUM code% = '%')

component

code: Diastolic blood pressure nocturnal dip (%)

value: 16.7 % (Details: UCUM code% = '%')


Entry 107 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/lab-result-observation-example-2

Resource Observation:

identifier: ProtectChildId/LBR-1-0004

status: Final

category: Laboratory

code: Creatinine [Mass/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0005; status = finished; class = ambulatory (ActCode#AMB); type = 12 month visit; period = 2024-08-15 --> 2024-08-15

effective: 2024-08-15 09:00:00+0200

performer: Organization La Paz University Hospital

value: 0.8 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

interpretation: High


Entry 108 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/lab-result-albumin-month-12

Resource Observation:

identifier: ProtectChildId/LBR-1-0005

status: Final

category: Laboratory

code: Albumin [Mass/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0005; status = finished; class = ambulatory (ActCode#AMB); type = 12 month visit; period = 2024-08-15 --> 2024-08-15

effective: 2024-08-15 09:00:00+0200

performer: Organization La Paz University Hospital

value: 4.2 g/dL (Details: UCUM codeg/dL = 'g/dL')

interpretation: Normal


Entry 109 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/lab-result-alt-month-12

Resource Observation:

identifier: ProtectChildId/LBR-1-0006

status: Final

category: Laboratory

code: Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0005; status = finished; class = ambulatory (ActCode#AMB); type = 12 month visit; period = 2024-08-15 --> 2024-08-15

effective: 2024-08-15 09:00:00+0200

performer: Organization La Paz University Hospital

value: 31 U/L (Details: UCUM codeU/L = 'U/L')

interpretation: Normal


Entry 110 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/LabEgfrMonth12

Resource Observation:

identifier: ProtectChildId/LBR-1-0012

status: Final

category: Laboratory

code: Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (Schwartz)/1.73 sq M

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0005; status = finished; class = ambulatory (ActCode#AMB); type = 12 month visit; period = 2024-08-15 --> 2024-08-15

effective: 2024-08-15

performer: Organization La Paz University Hospital

value: 96 mL/min/1.73 m² (Details: UCUM codemL/min/{1.73_m2} = 'mL/min/{1.73_m2}')


Entry 111 - fullUrl = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/LabCreatinineMolar1

Resource Observation:

identifier: ProtectChildId/LBR-1-0013

status: Final

category: Laboratory

code: Creatinine [Moles/volume] in Serum or Plasma

subject: Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)

encounter: Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0005; status = finished; class = ambulatory (ActCode#AMB); type = 12 month visit; period = 2024-08-15 --> 2024-08-15

effective: 2024-08-15

performer: Organization La Paz University Hospital

value: 71 µmol/L (Details: UCUM codeumol/L = 'umol/L')